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Advantages of a Data-Capture System with Video to Record Neonatal Resuscitation Interventions.
Trulsen, Lene Nymo; Anumula, Arjun; Morales, Ana; Klingenberg, Claus; Katheria, Anup C.
Afiliação
  • Trulsen LN; Research Group Child and Adolescent Health, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway; Department of Pediatrics and Adolescence Medicine, University Hospital of North Norway, Tromsø, Norway.
  • Anumula A; Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA.
  • Morales A; Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA.
  • Klingenberg C; Research Group Child and Adolescent Health, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway; Department of Pediatrics and Adolescence Medicine, University Hospital of North Norway, Tromsø, Norway.
  • Katheria AC; Neonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA. Electronic address: anup.katheria@sharp.com.
J Pediatr ; 275: 114238, 2024 Aug 14.
Article em En | MEDLINE | ID: mdl-39151599
ABSTRACT

OBJECTIVE:

To assess the completeness and accuracy of neonatal resuscitation documentation the electronic medical record (EMR) compared with a data-capture system including video. STUDY

DESIGN:

Retrospective observational study of 226 infants assessed for resuscitation at birth between April 2019 and October 2021 at Sharp Mary Birch Hospital, San Diego. Completeness was defined as the presence of documented resuscitative interventions in the EMR. We assessed the timing and frequency of interventions to determine the accuracy of the EMR documentation using video recordings as an objective record for comparison. Inaccuracy of EMR documentation was scored as missing (not documented), under-reported, or over-reported.

RESULTS:

Overall, the completeness of resuscitation interventions documented in the EMR was high (85%-100%), but the accuracy of documentation varied between 39% and 100% Modes of respiratory support were accurately captured in 96%-100% of the EMRs. Time to successful intubation (39%) and maximum fraction of inspired oxygen (47%) were the least accurately documented interventions in the EMR. Under-reporting of interventions with several events (eg, number of positive pressure ventilation events and intubation attempts) were also common errors in the EMR.

CONCLUSIONS:

The self-reported modes of respiratory support were accurately documented in the EMR, whereas the timing of interventions was inaccurate when compared with video recordings. The use of a video-capture system in the delivery room provided a more objective record of the timing of specific interventions during neonatal resuscitations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Noruega País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Noruega País de publicação: Estados Unidos